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MRS. LEEANNE MARIE KLUM D.D.S.
NPI 1912064189
Dentist - General Practice in Viroqua, WI

Active since January 03, 2007PECOS Enrolled
1225 FAVOR DR, VIROQUA, WI 54665(608) 637-2655(608) 637-2298 Get Directions Write a Review

NPPES record last updated: January 24, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Leeanne Marie Klum D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. LEEANNE MARIE KLUM D.D.S. (NPI 1912064189) is an individual general practice provider in Viroqua, Wisconsin, licensed in Wisconsin (6000-015) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912064189
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameMRS. LEEANNE MARIE KLUMCredential: D.D.S.
Location Address1225 FAVOR DRViroqua, WI 54665-1170
Mailing Address1225 Favor DrViroqua, WI 54665-1170 · (608) 637-2655 · Fax (608) 637-2298
Phone(608) 637-2655
Fax(608) 637-2298
Sole ProprietorNo
Enumeration DateJanuary 3, 2007
Last NPPES UpdateJanuary 24, 2012
✔ NPI 1912064189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in WI · 6000-015
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1225 FAVOR DR, Viroqua, WI 54665
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Leeanne Marie Klum D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54665 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Leeanne Klum's NPI number?

The NPI number for Leeanne Klum is 1912064189. It was assigned to this individual provider in the NPPES registry on January 3, 2007.

Where is Leeanne Klum located?

Leeanne Klum practices at 1225 Favor Dr, Viroqua, WI 54665. The listed phone number is (608) 637-2655.

What is Leeanne Klum's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Leeanne Klum enrolled in Medicare?

Yes. Leeanne Klum is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Leeanne Klum was last updated on January 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.